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The clinical course of children treated in a short-term inpatient programme

Andre Sourander1, Hannu Leijala

  • 1University of Tromso, Norway. andre.sourander@utu.fi

Child Psychiatry and Human Development
|August 31, 2002
PubMed

Insights

Most children improved after short-term psychiatric hospitalization, but many retained high symptoms. Conduct problems persisted, highlighting the need for long-term monitoring and continued care.

Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Short-term child psychiatric inpatient treatment is common.
  • Long-term outcomes for these children are not fully understood.
  • Persistent symptoms and functional impairments are a concern.

Purpose of the Study:

  • To evaluate the long-term functioning and symptom stability of children after inpatient psychiatric treatment.
  • To identify factors predicting treatment outcomes.
  • To emphasize the necessity of sustained care pathways.

Main Methods:

  • Longitudinal evaluation of 46 children admitted to inpatient psychiatric care.
  • Data collection at admission, discharge, and 5-month, 1-year, and 3-year follow-ups.
  • Assessment using parent, teacher, and clinical ratings.

Main Results:

  • Majority of children showed functional improvement over 3 years.
  • High stability in parent, teacher, and clinical ratings was observed.
  • Most children maintained a high symptom level at follow-ups.
  • Conduct problems demonstrated the highest stability and predicted poorer outcomes.

Conclusions:

  • Short-term hospitalization is a step towards further assistance, not a complete treatment.
  • Persistent chronic problems necessitate long-term monitoring and evaluation.
  • The high stability of symptoms underscores the need for ongoing support services for children post-discharge.

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